| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,272.00 | $3,217.00 | $9,463.00 | |
BCBS
| Facility | $6,375.42 | $13,637.28 | $27,308.65 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $1,212.47 | $1,955.22 | $4,552.18 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $785.00 | $2,800.00 | $6,650.00 |